Active NPI
Andrew Hoon Chung, PHARM D.
- Pharmacist
- Elmhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064573
- Practice address
- 7611A Broadway
Elmhurst, NY 11373-1032 - Phone
- (718) 507-9277
- Fax
- (718) 507-9278
- NPI assigned
- Nov 23, 2018
- Last updated
- Jan 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 064573 | NY | Primary |
Addresses
Primary practice location
7611A Broadway
Elmhurst, NY 11373-1032
Mailing address
310 Weatherly PL Apt B
College Point, NY 11356-1178
Phone (917) 369-4794
Other practice location 1
8507 Roosevelt Ave
Jackson Heights, NY 11372-7342
Phone (917) 331-3936
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064573 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Pharmacy I, Inc. | Current | Accepting new patients | |
| Sunrise Pharmacy Inc. | Past | Accepting new patients |
Locations
7611A Broadway
Elmhurst, NY 11373
Phone (718) 507-9277
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Queens Health Pharmacy
- Community/Retail Pharmacy
- Elmhurst, NY
- NPI 1841837259
-
dba Queens Health Pharmacy
- Community/Retail Pharmacy
- Elmhurst, NY
- NPI 1770760894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1114496957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 WEATHERLY PL APT B",
"city": "COLLEGE POINT",
"state": "NY",
"postal_code": "113561178",
"telephone_number": "917-369-4794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7611A BROADWAY",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731032",
"telephone_number": "718-507-9277",
"fax_number": "718-507-9278"
}
],
"practiceLocations": [
{
"address_1": "8507 Roosevelt Ave",
"address_purpose": "LOCATION",
"city": "Jackson Heights",
"state": "NY",
"postal_code": "113727342",
"country_code": "US",
"telephone_number": "917-331-3936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUNG",
"first_name": "ANDREW",
"middle_name": "HOON",
"name_prefix": "Mr.",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-23",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.